Individual
RACHEL CECILE VANDEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 JOURNEY ST SE, OLYMPIA, WA 98513-6779
(360) 459-5312
Mailing address
4840 JOURNEY ST SE, OLYMPIA, WA 98513-6779
(360) 459-5312
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61297705
WA
Other
Enumeration date
02/27/2020
Last updated
05/09/2024
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